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Separately Managed Account Application Personal Registrations

Separately Managed Account Application Personal RegistrationsType on screen or fill in using CAPITAL letters and black ink. If you need more room for information or signatures, use a copy of the relevant Authorized agent/Advisor Use OnlyDo not list SAMs in this provide information on more Authorized agent(s)/Advisor(s), owners, etc., make additional copies of necessary page(s).Primary Authorized agent/AdvisorDTC NumberG NumberGAdditional Authorized agent/AdvisorG NumberGAdditional Authorized agent/AdvisorG NumberGAdditional Authorized agent/AdvisorG NumberGSponsorG NumberGFor Advisor Use Only: Account referred through Wealth Advisor Solutions program (Use WAS specific G number in Primary Authorized agent/Advisor G number field above.)

Separately Managed Account Application Personal Registrations 1.9885545.100 037830001 Account Number Type on screen or ll in using CAPITAL letters and black ink. If you need more room for information or signatures, use a copy of the relevant page.

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